Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.55 / $613.76 / $613.76	Professional		$480.55	$613.76	$613.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.00 / $9,905.00 / $19,252.00	Facility		$4,208.00	$9,905.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.01 / $1,258.47 / $2,506.46	Professional		$819.01	$1,258.47	$2,506.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $11,441.20	Facility		$66.90	$100.00	$11,441.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $599.05 / $855.80 / $1,759.27	Professional		$599.05	$855.80	$1,759.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $10,889.35 / $19,503.31	Facility		$5,980.00	$10,889.35	$19,503.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7,774.23 / $7,774.23 / $8,162.94	Professional		$7,774.23	$7,774.23	$8,162.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,001.40 / $31,450.65 / $31,450.65	Facility		$2,001.40	$31,450.65	$31,450.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,849.04 / $3,956.80 / $4,612.35	Professional		$3,849.04	$3,956.80	$4,612.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.76 / $686.73 / $893.17	Facility		$613.76	$686.73	$893.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.65 / $565.34 / $2,536.67	Professional		$545.65	$565.34	$2,536.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,454.00 / $14,743.00	Facility		$3,610.00	$7,454.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $582.54 / $1,169.38	Professional		$426.00	$582.54	$1,169.38